How many people do you support with your income? *
Your answer
Do you receive financial assistance from any unearned source (i.e. parents, trust fund, etc.)? If so, how much do you receive on a monthly basis? *
Your answer
What is your age?
Your answer
Please describe a bit about how you identify (i.e. ethnicity/culture/race, gender identity, sexual orientation):
We ask this question because we prioritize people of color and queer/trans/gender nonconforming folk for our scholarships.
Your answer
Are there specific circumstances that make it difficult to pay for the program? (i.e. illnesses, unexpected expenses)
Your answer
Please tell us a little bit about why you want to participate in the program.
Your answer
If you are applying for a scholarship, what portion of the program fee are you able to pay? (use the diagram below to help you figure out what you might be able to pay based on your annual income)
Your answer
If you are applying for a payment plan, please describe how you would like to make your payment.